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Casey: Panre > EENT > Flashcards

EENT Flashcards

1
Q

Acute sinusitis is most commonly caused by which 2 pathogens

A

Strep pneumoniae & haemophilus influenza

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2
Q

Oral herpes is best treated with systemic or topical antivirals?

A

Topical is first line.

Systemic antivirals will help but are the only indicated for severe cases

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3
Q

A pt presents with several episodes of vertigo over the past few weeks. He has had intermittent unilateral hearing loss and a “blowing “ in his ears. What is the most likely dx?

A

Ménière’s disease

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4
Q

A white oral lesion which cannot be scraped off should make you think of what dx?

A

Oral leukoplakia

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5
Q

What type of hearing loss is associated with aging?

A

Sensory

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6
Q

What is the most commonly affected sinus in acute sinusitis?

A

Maxillary

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7
Q

A pt presents with a hot potato or muffled voice. What is the most likely dx?

A

Peritonsillar abscess

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8
Q

What time frame for chronic sinusitis?

A

> 3 months

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9
Q

List the time of yea when each of the following allergens is most prominent: pollen, grass, mold and ragweed

A

Pollen from trees and flowers: spring
Grasses are summer
Mold and ragweed are fall

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10
Q

How little my should pressure be applied to tx epistaxis?

A

:15

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11
Q

List the 4 things that suggest group A beta-hemolytic strep in a pt c pharyngitis

A

Fever
Tender anterior cervical adenopathy
No cough
Exudate in throat

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12
Q

A child presenting with an erythematous sandpaper rash should make you think of what dx

A

Scarlet fever

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13
Q

In a pt c sensorineural hearing loss, what will be the results of the Weber test?

A

The pt will hear the sound louder in the unaffected ear.

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14
Q

List 4 complications of untreated strep throat

A

Scarlet fever
Glomerulonephritis
Rheumatic fever
Local abscess

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15
Q

A pt presents with a round ulcer in her mouth that is yellow-grey and has a red halo. What is the most likely dx?

A

Aphthous ulcers

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16
Q

A pt presents drooling, with stridor and in tripod position. What is the dx and how do you treat it?

A

Epiglottitis is treated with a third generation cephalosporin–ceftriaxone.

17
Q

White oral lesions which can be scraped off leaving punctate bleeding should make you think of what dx?

A

Oral candida

18
Q

What are three possible treatments for peritonsillar abscess?

A

Needle aspiration
I&D
Tonsillectomy

19
Q

What virus causes mumps?

A

Paramyxovirus

20
Q

How do you treat allergic rhinitis?

A

Intranasal corticosteroid

Antihistamines

21
Q

What is the treatment of choice for strep throat?

A

PCN
Amoxicillin
Erythromycin

22
Q

A pt presents with unilateral hearing loss and a decrease in speech discrimination. She has also had difficulty with balance over the past week. What is the most likely dx?

A

Acoustic neuroma

23
Q

A pt presents with acute swelling and pain in the cheek that increases at meals. What is the most likely dx?

A

Sialadenitis (salivary gland infection)

Staph aureus

24
Q

When is watchful waiting with a dx of acoustic neuroma an appropriate plan?

A

This tumor is very slow growing. Watching a small tumor in an elderly patient is appropriate treatment.

25
Q

What type of hearing loss would be caused by cerumen impaction?

A

Conductive

26
Q

How do you administer the Weber hearing test?

A

Tuning fork placed in the middle of the forehead

27
Q

A 14yo field hockey player presents with prominent adenopathy, white purple exudates in the throats and a palpable spleen. What is the most likely dx?

A

Mononucleosis

28
Q

How do you administer the Rinne hearing test?

A

Place the tuning fork on the mastoid and the move it in front of the ear

29
Q

Describe the result of a Weber hearing text in a pt with conductive hearing loss.

A

Pt will report the sound louder in the affected ear.

30
Q

An X-ray of the skull reveals coalescence of mastoid air cells. What is the most likely dx?

A

Mastoiditis

31
Q

After 10d of worsening sinusitis what abx should you start?

A

Augmentin (amoxicillin/clavulanate)

32
Q

A 45yo female c/o feeling the ground rolling under her feet at times. What is the most likely dx?

A

Vertigo

33
Q

A pt with a history of smoking presents with a new onset of hoarseness. This has been persistent for the past 2 weeks. What is the most likely dx?

A

Laryngeal squamous cell carcinoma

34
Q

A pt presents with acute onset of continuous severe vertigo for the past five days. He does have a hx of URI 2 wks ago? What is the most likely dx?

A

Labrynthitis

35
Q

What does Kiesselbach’s plexus refer to?

A

A group of veins in the anterior nose which bleed a lot

36
Q

Small grouped vesicles on the vermilion border should make you think of what dx?

A

Herpes simplex

Casey: Panre (12 decks)

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